{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T11:51:52Z","timestamp":1773229912558,"version":"3.50.1"},"reference-count":28,"publisher":"BMJ","issue":"3","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2026,2,12]]},"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>Phyllodes tumours (PTs) are infrequent fibroepithelial neoplasms that account for &lt;1% of all primary breast tumours. Local recurrence (LR) rates and distant metastasis vary depending on tumour histology. In this case report, the patient developed a painful growing tumour in the nipple after nipple-sparing mastectomy 17 years before. Local excision was performed with a final diagnosis of borderline PT after 205 months disease-free.<\/jats:p>\n                  <jats:p>The management of surgical margins of PT remains under discussion due to the high risk of LR. Breast-conserving surgery, when feasible, is considered the surgical approach of choice; however, immediate breast reconstruction after mastectomy is a balanced option when the tumour\u2019s characteristics are not suitable for conservative surgery. When performing nipple-sparing mastectomy, nipple recurrence is extremely rare but a complication to consider during the patient\u2019s follow-up.<\/jats:p>","DOI":"10.1136\/bcr-2025-270481","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T14:45:15Z","timestamp":1773153915000},"page":"e270481","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Late onset nipple recurrence of borderline phyllodes after nipple-sparing mastectomy"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9117-2646","authenticated-orcid":false,"given":"Benjamin Alfonso","family":"Thorpe Plaza","sequence":"first","affiliation":[{"name":"General Surgery, Universidade de Santiago de Compostela - Campus de Santiago, Santiago de Compostela, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana Isabel","family":"Calvache 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